6VL-15346-94382
4 vaccinations
7 coded responses
53 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 230 / VA
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
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2021-03-02
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Injection site paraesthesia — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Little tingle at injection site, about an hour afterwards, lasted maybe 15 or 20 mins.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-25
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: BlahMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling, Pruritus — Feeling: Good · Site: Pain, Swelling, Itching · Be unable to do your normal daily activitiesFree text: Itchiness is not new, just that I newly realized that its where I got the shot. Looking closer is when I noticed a little swelling, probably not new either...just newly recognized. Pain is a little odd, today. Coming in spurts, almost describable as sharp but in a wider, area than pinpoint.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Tenderness — Feeling: Good · Site: PainFree text: Arm is only sore to the touch, otherwise it feels fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Hardly any soreness (arm) at all, today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-23
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-17
- 2021-12-22
- 2021-12-30
- 2022-02-16
-
2022-05-18
Dose 4 — Moderna
- 2022-05-18
-
2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2022-05-23
- 2022-05-24
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-08-17
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2022-11-16
Survey response — 6 months, dose 4MedDRA: Chills, Cough, Dyspnoea, Headache, Hypersomnia, Malaise, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Was sick, last eeek, most; fever, chills, headache, slept A LOT with side of body aches, cough, used rescue inhaler a couple times.MedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-17
Call successfulNot applicable - Accidental Reporting
-
2023-05-18
Survey response — 12 months, dose 4MedDRA: COVID-19, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-05-18 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Little tingle at injection site, about an hour afterwards, lasted maybe 15 or 20 mins.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Blah
Systemic reaction (other): Itchiness is not new, just that I newly realized that its where I got the shot. Looking closer is when I noticed a little swelling, probably not new either...just newly recognized. Pain is a little odd, today. Coming in spurts, almost describable as sharp but in a wider, area than pinpoint.
Systemic reaction (other): Arm is only sore to the touch, otherwise it feels fine.
Systemic reaction (other): Hardly any soreness (arm) at all, today.
Release 12 — 6 months, dose 4
Symptoms: Was sick, last eeek, most; fever, chills, headache, slept A LOT with side of body aches, cough, used rescue inhaler a couple times.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release